Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Readmission Rates After Thrombectomy for Stroke

J Stroke Cerebrovasc Dis; ePub 2018 Jul 3; Ramchand, et al

1 in 8 thrombectomy patients had a short-term readmission in 2014, according to a recent study, and characteristics suggestive of a complicated hospital course or greater physical disability were the primary predictors of readmission. Researchers conducted a retrospective observational analysis of adult patients hospitalized between January and November 2014, using data from the 2014 Nationwide Readmissions Database. Readmission rates were calculated and examined according to patient, clinical, and hospital characteristics using descriptive statistics. 4,850 individuals who underwent mechanical thrombectomy for acute ischemic stroke in 2014 were eligible for 30-day readmissions analyses. They found:

  • The nonelective readmission rate was 12.5% at 30 days and 20.7% at 90 days.
  • Sepsis and stroke were the most common reasons for readmission.
  • Female sex, discharge to inpatient post-acute care facility, and longer initial length of stay were associated with a higher likelihood of readmission.
  • Thrombectomy complications were rare and not associated with readmission.

Ramchand P, Thibault DP, Crispo JA, et al. Readmissions after mechanical thrombectomy for acute ischemic stroke in the United States: A nationwide analysis. [Published online ahead of print July 3, 2018]. J Stroke Cerebrovasc Dis. doi:10.1016/j.jstrokecerebrovasdis.2018.05.035.

This Week's Must Reads

Pediatric Onset MS Linked with Reduced Parental QOL, Mult Scler; ePub 2018 Aug 30; O’Mahony, et al

Depressive Symptoms Negatively Impact on MS, J Neuropsychiatry Clin Neurosci; ePub 2018 Sep 6; Gill, et al

Evaluation of the MULES Picture Naming Test, J Neurol Sci; ePub 2018 Aug 23; Seay, Akhand, et al

Postrelapse Rehabilitation Use in MS Examined , Int J MS Care; ePub 2018 Sep 5; Asano, Eitzen, et al

Thalamic White Matter in Patients with MS, Hum Brain Mapp; 2018 Oct; Bergsland, et al

Must Reads in Neurosurgery & Trauma

Readmission Rates After Thrombectomy for Stroke , J Stroke Cerebrovasc Dis; ePub 2018 Jul 3; Ramchand, et al

Ischemic Stroke Risk After Trauma in Young Cohort, Neurology; ePub 2017 Nov 8; Fox, Hills, et al

Aneurysm Linked with Fibromuscular Dysplasia in Women, JAMA Neurol; ePub 2017 Jul 17; Lather, et al

High Rate of Revisions, Removals in DBS Surgery, Parkinsonism Relat Disord; ePub 2016 Sep 12; Rolston, et al

Seizures and Periodic Discharges in Traumatic Brain Injury, Ann Neurol; ePub 2016 Feb 28; Vespa, Tubi, et al